FORM 1023-EZ for RONSHOUSE HOMELESS SHELTER INC

Field Data
EIN 90-0986744
Case Number EO-2017093-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RONSHOUSE HOMELESS SHELTER INC
Organization’s Mailing Address 959 N MONROE AVE
City LINDENHURST
State NY
ZIP 11757
Accounting period End 12
Primary contact name KIMBERLY HOLLIDAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY HOLLIDAY
PRESIDENT
959 N MONROE AVE
LINDENHURST NY 11757

Officer/Director/Trustee Two

KENNETH MIRECKI
CEO
959 N MONROE AVE
LINDENHURST NY 11757

Officer/Director/Trustee Three

TAMARA HOLLIDAY
TRUSTEES
959 N MONROE AVE
LINDENHURST NY 11757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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